NPI 1154111573

Legacy Dental LLC

Organisation Dental Clinic/Center Casper, WY

Practice location

Address: 1771 Goodstein Dr, Casper, WY 82601-6222
Phone: (307) 234-6054
Fax: (307) 234-7896
Mailing address: 1122 S Conwell St, Casper, WY 82601-3965

Authorised official

Name: Stuart Youmans
Title: Doctor/Owner
Phone: (307) 234-6054

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1154111573
Entity type: Organization
NPI issued: 8 May 2025
Record last updated: 8 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.